Pressure ulcers from a nursing perspective
DOI:
https://doi.org/10.59471/ijhsc2023157Keywords:
Pressure ulcers, Prevention, Nursing, Knowledge, TrainingAbstract
Pressure ulcers represent a significant challenge in nursing practice and are a crucial indicator of the quality of care provided to patients. These ischemic lesions affect the skin and underlying tissues due to prolonged pressure or friction, prevailing in bedridden or wheelchair-bound patients. Prevention and proper management are essential to improve patient outcomes and reduce the economic and social burden. Preventive strategies include risk assessment, use of pressure-relieving devices, and staff education. Silicone dressings and support surfaces have been shown to be effective. Ongoing training of nursing staff is crucial to improve management and prevention, highlighting the importance of training programs that increase staff knowledge and skills.
References
Febré-Vergara N, Mondaca-Gómez K, Cartagena-Ramos D, Méndez-Celis P, Muñoz-Cáceres V, Chepo-Chepo M. Lesiones por presión de origen hospitalario y factores que afectan su desarrollo: estudio multicéntrico. Salud Cienc Tecnol 2023;4:604. https://doi.org/10.56294/saludcyt2024604.
Hermis AH, Mollaei A, Ghorbani Vajargah P, Karkhah S, Takasi P, Firooz M, et al. A systematic review of nursing students’ attitude and related factors towards pressure ulcer prevention. Int Wound J 2023;20:3404-16. https://doi.org/10.1111/iwj.14191.
Chen Z, Gleason LJ, Sanghavi P. Accuracy of Pressure Ulcer Events in US Nursing Home Ratings. Med Care 2022;60:775-83. https://doi.org/10.1097/MLR.0000000000001763.
Yepez Idrovo AC, Jaramillo Loaiza WV, Atarihuana Hidalgo GM, Ortiz Encalda BP. Eficacia de la terapia de presión negativa en comparación con el tratamiento convencional en úlceras por presión. Salud Cienc Tecnol 2022;2:200. https://doi.org/10.56294/saludcyt2022200.
Parisod H, Holopainen A, Kielo-Viljamaa E, Puukka P, Beeckman D, Haavisto E. Attitudes of nursing staff towards pressure ulcer prevention in primary and specialised health care: A correlational cross-sectional study. Int Wound J 2022;19:399-410. https://doi.org/10.1111/iwj.13641.
Sirajudeen Ameer J, Senthilnathan P, Ilayaraja V, Gopichand G. Exploring the associations between Diabetes Mellitus and Diabetic Retinopathy: Prevention and Management by focus on Machine Learning Technique. Salud Cienc Tecnol 2023;3:556. https://doi.org/10.56294/saludcyt2023556.
Baernholdt M, Yan G, Hinton ID, Cramer E, Dunton N. Effect of preventive care interventions on pressure ulcer rates in a national sample of rural and urban nursing units: Longitudinal associations over 4 years. Int J Nurs Stud 2020;105:103455. https://doi.org/10.1016/j.ijnurstu.2019.103455.
Ursavaş FE, İşeri Ö. Effects of education about prevention of pressure ulcer on knowledge and attitudes of nursing students. J Tissue Viability 2020;29:331-6. https://doi.org/10.1016/j.jtv.2020.06.006.
Deng G-L, Lei Y-L, Tan H, Geng B-C, Liu Z. Effects of predictive nursing interventions on pressure ulcer in elderly bedridden patients. Int Wound J 2024;21:e14690. https://doi.org/10.1111/iwj.14690.
Chávez Montecino MJ, Ramírez Aguilera N, Machuca-Contreras F. Efectividad de una unidad de enfermería especializada en cuidados de la piel sobre las lesiones por presión de origen intrahospitalario en un hospital chileno. Salud Cienc Tecnol 2023;3:596. https://doi.org/10.56294/saludcyt2023596.
Behrendt S, Schwinger A, Tsiasioti C, Stieglitz K, Klauber J. [Pressure ulcer in German Nursing Homes: Quality Assessment Using Claims Data of Statutory Health and Long-Term Care Insurance]. Gesundheitswesen Bundesverb Arzte Offentlichen Gesundheitsdienstes Ger 2020;82:S52-61. https://doi.org/10.1055/a-1057-8799.
Akbari M, Shirani F. Pressure Ulcer Patients’ Psychological Understanding of Nursing Care Received in Intensive Care Unit. ARYA Atheroscler 2023;19:25-34. https://doi.org/10.48305/arya.2023.11888.2724.
Hultin L, Karlsson A-C, Öhrvall M, Coleman S, Gunningberg L. PURPOSE T in Swedish hospital wards and nursing homes: A psychometric evaluation of a new pressure ulcer risk assessment instrument. J Clin Nurs 2020;29:4066-75. https://doi.org/10.1111/jocn.15433.
Babu K, Roobini MS, Prabhakaran S, Sadagopan S, Kanimozhi N. Evaluation and Management of Diabetic Neuropathy from the Perspective of People with Diabetes. Salud Cienc Tecnol - Ser Conf 2024;3:655. https://doi.org/10.56294/sctconf2024655.
Huang C, Ma Y, Wang C, Jiang M, Yuet Foon L, Lv L, et al. Predictive validity of the braden scale for pressure injury risk assessment in adults: A systematic review and meta-analysis. Nurs Open 2021;8:2194-207. https://doi.org/10.1002/nop2.792.
Hahnel E, El Genedy M, Tomova-Simitchieva T, Hauß A, Stroux A, Lechner A, et al. The effectiveness of two silicone dressings for sacral and heel pressure ulcer prevention compared with no dressings in high-risk intensive care unit patients: a randomized controlled parallel-group trial. Br J Dermatol 2020;183:256-64. https://doi.org/10.1111/bjd.18621.
Forni C, Gazineo D, Allegrini E, Bolgeo T, Brugnolli A, Canzan F, et al. Effectiveness of a multi-layer silicone-adhesive polyurethane foam dressing as prevention for sacral pressure ulcers in at-risk in-patients: Randomized controlled trial. Int J Nurs Stud 2022;127:104172. https://doi.org/10.1016/j.ijnurstu.2022.104172.
Lovegrove J, Fulbrook P, Miles S, Steele M. Effectiveness of interventions to prevent pressure injury in adults admitted to intensive care settings: A systematic review and meta-analysis of randomised controlled trials. Aust Crit Care Off J Confed Aust Crit Care Nurses 2022;35:186-203. https://doi.org/10.1016/j.aucc.2021.04.007.
Geng J, Cai Y, Lu H, Zhang R, Tian J, Zhang J. Moist dressings in the treatment of pressure injuries: A network meta-analysis. J Tissue Viability 2023;32:213-27. https://doi.org/10.1016/j.jtv.2023.03.003.
Chen L, Ruan Y, Ma Y, Ge L, Han L. Effectiveness and safety of electrical stimulation for treating pressure ulcers: A systematic review and meta-analysis. Int J Nurs Pract 2023;29:e13041. https://doi.org/10.1111/ijn.13041.
Jiang Q, Liu Y, Yu H, Song S, Li G, Liu H, et al. A Multicenter, Comparative Study of Two Pressure-Redistribution Mattresses with Repositioning Intervals for Critical Care Patients. Adv Skin Wound Care 2020;33:1-9. https://doi.org/10.1097/01.ASW.0000653160.13611.5d.
Ho C, Ocampo W, Southern DA, Sola D, Baylis B, Conly JM, et al. Effect of a Continuous Bedside Pressure Mapping System for Reducing Interface Pressures: A Randomized Clinical Trial. JAMA Netw Open 2023;6:e2316480. https://doi.org/10.1001/jamanetworkopen.2023.16480.
Karimian M, Khalighi E, Salimi E, Borji M, Tarjoman A, Mahmoudi Y. The effect of educational intervention on the knowledge and attitude of intensive care nurses in the prevention of pressure ulcers. Int J Risk Saf Med 2020;31:89-95. https://doi.org/10.3233/JRS-191038.
Kim G, Park M, Kim K. The Effect of Pressure Injury Training for Nurses: A Systematic Review and Meta-analysis. Adv Skin Wound Care 2020;33:1-11. https://doi.org/10.1097/01.ASW.0000653164.21235.27.
Chaboyer W, Harbeck EL, Walker RM, Latimer S, Deakin J, Probert R, et al. Variations in sacral sub-epidermal moisture measurements in hospitalized medical and surgical patients: A longitudinal observational sub-study. Int J Nurs Stud 2023;145:104545. https://doi.org/10.1016/j.ijnurstu.2023.104545.
Dymarek R, Kuberka I, Rosińczuk J, Walewicz K, Taradaj J, Sopel M. The Immediate Clinical Effects Following a Single Radial Shock Wave Therapy in Pressure Ulcers: A Preliminary Randomized Controlled Trial of The SHOWN Project. Adv Wound Care 2023;12:440-52. https://doi.org/10.1089/wound.2021.0015.
Burston A, Miles SJ, Fulbrook P. Patient and carer experience of living with a pressure injury: A meta-synthesis of qualitative studies. J Clin Nurs 2023;32:3233-47. https://doi.org/10.1111/jocn.16431.
Published
Issue
Section
License
Copyright (c) 2023 Yajaira Abigail Cadena Franco, Jefferson Rolando Zambrano Camacho, Jenrry Fredy Chávez Arizala, Wilter C. Morales-García (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
How to Cite
